Active NPI
Anthony J. Hornaday, D.D.S.
- Oral and Maxillofacial Surgery (Dentist)
- Muncie, IN
National Provider Identifier
1235547498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- ANTHONY J. HORNADAY, D.D.S.
- Practice address
- 620 S Tillotson Ave
Muncie, IN 47304-4448 - Phone
- (765) 289-9705
- Fax
- (765) 289-9706
- NPI assigned
- Jul 31, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anthony J. Hornaday, D.D.S.
- Title
- Owner/Oral & Maxillofacial Surgeon
- Phone
- (765) 289-9705
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | IN | Primary |
Addresses
Primary practice location
620 S Tillotson Ave
Muncie, IN 47304-4448
Mailing address
620 S Tillotson Ave
Muncie, IN 47304-4448
Phone (765) 289-9705
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200421550A | Medicaid | IN |
National Provider Directory
National Provider DirectoryLocations
620 S Tillotson Ave
Muncie, IN 47304
Phone (765) 289-9705
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Muncie, IN
- NPI 1407897523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1406764800000",
"number": "1235547498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 S TILLOTSON AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473044448",
"telephone_number": "765-289-9705",
"fax_number": "765-289-9706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 S TILLOTSON AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473044448",
"telephone_number": "765-289-9705",
"fax_number": "765-289-9706"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANTHONY J. HORNADAY, D.D.S.",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-31",
"last_updated": "2014-07-31",
"status": "A",
"authorized_official_last_name": "HORNADAY",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "OWNER/ORAL & MAXILLOFACIAL SURGEON",
"authorized_official_telephone_number": "765-289-9705",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200421550A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.